Women's Summer Studies Childcare Registration 2018
This form is for Childcare registration only and does not ensure an opening with a Summer Study group. You must contact the leader of the group to register.
Childcare is available from June 7, 2018-July 12, 2018 ONLY
Age Range: 6 weeks-11 years old (entering into 6th grade)
First Name: *
Your answer
Last Name: *
Your answer
What study would you like? *
How many children do you need to register? *
First Child's Name, DOB and Grade
Your answer
Second Child's Name, DOB and Grade
Your answer
Third Child's Name, DOB and Grade
Your answer
Fourth Child's Name, DOB and Grade
Your answer
Fifth Child's Name, DOB and Grade
Your answer
Does your child(ren) have any allergies we need to know about? *
Your answer
Questions or Comments?
Your answer
Thank you for registering your child(ren) for Women's Summer Studies. Please arrive in the Education Building 15 minutes prior to your class to check-in your child(ren). You must still contact the leader to register for the study. This form is for childcare registration purposes only.
Cell Phone Number: *
Your answer
Email Address: *
Your answer
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